Coach Roshan Programme

PCOD / PCOS Programme

Irregular cycles, hormonal acne, hair fall, weight that will not shift no matter how little you eat. Most of it traces back to one mechanism — and that mechanism responds to food and training far better than it responds to willpower.

Built around your bloodwork  ·  works alongside your gynaecologist

What is actually going on

It is usually insulin, not calories

Around 70–80% of women with PCOS have some degree of insulin resistance. Your cells stop responding properly to insulin, so your pancreas makes more of it. High circulating insulin then pushes the ovaries to produce more androgens — which is where the irregular cycles, the acne along the jaw, and the hair thinning come from.

This is why the standard advice fails so badly. “Eat less, move more” aimed at a body that is already insulin resistant tends to produce more hunger, more fatigue and no change on the scale — and then you are told you lack discipline.

Fix the insulin signalling and the rest follows. Not instantly, and not for everyone equally, but it is the lever that actually moves.

Lean PCOS exists too. If your weight is already healthy, the approach shifts — the focus moves to meal composition, training and stress rather than a deficit. You are not doing it wrong; your version is just different.

The approach

Four things, in this order

01

Read the bloodwork

Fasting insulin, HbA1c, testosterone, LH/FSH, thyroid, vitamin D, B12. Most women arrive with reports nobody has explained to them. We start there.

02

Steady the blood sugar

Meals built so glucose does not spike and crash: protein first, fibre alongside, carbohydrates that come with something else. No food banned.

03

Train for insulin sensitivity

Resistance training is not optional here — muscle is where glucose goes. Two to four sessions a week, home or gym, plus walking after meals.

04

Support, checked properly

Inositol, vitamin D and omega-3 have reasonable evidence in PCOS. As a pharmacist I check each one against your prescriptions and your reports rather than guessing.

Honest expectations

What this can and cannot do

Cycles becoming more regular, acne settling, energy returning and weight finally moving are all common outcomes. Many women see meaningful change within three to four months.

But PCOS is a syndrome, not a single disease, and it does not simply go away. Anyone promising to “cure” or “permanently reverse” it is overselling. What is realistic is managing it well enough that it stops dictating your life — and for many women that includes restored ovulation.

If you are trying to conceive, this programme supports your fertility treatment — it does not replace it. Keep your gynaecologist or fertility specialist in the loop, and never stop prescribed medication such as metformin without speaking to them first.

Honest fit

Is this right for you?

This is for you if

This is not for you if

Included as standard

What’s in this programme

Everything below is included. Nothing here is an add-on or an upsell.

Before you book

Common questions

Absolutely not, and not on my say-so. Metformin is often exactly the right drug here. What I will do is make sure your plan works alongside it — and check your B12, because long-term metformin depletes it and that deficiency gets missed constantly. Any change to the dose is your doctor’s decision.

No. Carbohydrates are not the enemy; unopposed carbohydrates on an insulin-resistant body are the problem. Rice with dal, vegetables and curd behaves very differently from rice alone. We change the composition of the meal, not your culture.

Hormones are slow. Energy and cravings often shift within a few weeks, but cycle regularity typically takes three to four months, sometimes longer. Anyone quoting faster than that is guessing.

Yes, with a different emphasis. Without a deficit to run, the work goes into meal composition, resistance training, sleep and stress. The underlying insulin mechanism is often still present even at a normal weight.

Often, yes — both are downstream of androgens, which are downstream of insulin. Expect months, not weeks, and expect improvement rather than complete resolution. Dermatological treatment alongside is perfectly reasonable.

Start with a free consult

Twenty minutes on WhatsApp. Bring your recent blood reports and your cycle history if you have them — and I will tell you honestly what I think is driving it.

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